HDEC05-14-R-0002_PAST_PERFORMANCE_QUESTIONNAIRE.pdf

Past Performance Questionnaire (Attachment 7-3)

The Government requests that references complete this Questionnaire and submit the completed form directly to Heather Jarratt via email at heather.jarratt@deca.mil or facsimile at (804) 734- 8669. When completing this questionnaire, please use the below rating key:

REFERENCE INFORMATION (PERSON THAT COMPLETED THE QUESTIONNAIRE)

COMPANY NAME: ____________________________________________________________

COMPANY ADDRESS :_________________________________________________________

EVALUATOR NAME:___________________________TITLE:__________________________

TELEPHONE # :_______________________EMAIL ADDRESS :_____________________

RATING KEY: A = ACCEPTABLE U = UNACCEPTABLE

Quality of Service

1. To what degree did the Contractor’s team understand the work?

A U

2. How effective were the Contractor’s procedures in completing the work? A U

3. How would you describe the degree of accuracy the contractors team achieved? A U

Timeliness/Schedule

1. Did the contractor contact your facility within the required time period, prior to the inventory performance date, to review and coordinate the planned service? A U

2. Did the contractor’s team begin work on time (also affects cost control)? A U

3. Did the contractor complete the work in the time allowed (also affects cost control)? A U

Management

1. How effective was the contractor in establishing and maintaining a positive working relationship with your company (customer service)? A U

2. To what extent did the contractor respond to any concerns or issues that appeared before and during the performance of their work (problem resolution efforts)? A U

3. To what degree did the contractor provide any follow up service, if needed? A U

Management of Key Personnel

1. To what extent did the contractor provide the proper number of personnel to complete the work in a timely manner? A U

2. To what extent did the contractor personnel have the proper equipment to complete the work in a timely manner? A U

Similarity of Tasks/Experience

Please provide a description of the services the Contractor provided for your company.

Description of devices and services provided:

Degree of sub-contracting/teaming arrangements (if any):

Time period the services were provided:

Value of contract:

Closing Comments

1. Would you award a similar contract/agreement to this contractor again? YES NO

2. How would you with rate the overall performance of the Contractor? A U

3. Please provide any additional comments you feel would be pertinent regarding the performance of this company:

Thank you for taking the time to complete this questionnaire. If you have any questions regarding this form, please contact Heather Jarratt at (804) 734-8000 ext 86302 or via email at heather.jarratt@deca.mil .